HomeMy WebLinkAbout07060011 Application
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City of Carmel/Clay Township Permit #: 070(0 nO II
COMMERCIAL or INSTITUTIONAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Commercial or Institutional: New Structures, Additions, Remodels, Tenant Finishes, & Accessory Buildings
BUILDER of NAME PHONE 3."':l- (,3,,/ ""it FAX ~':r ;l.{M .il.~~cy
RECORD: 5"....""M..,- Co N ,,>-rlt-(.o., ,ON CO, IN,-
STllEET AODRESS OTY STATE ZIP
1101- 13o.1/2.pf4-t.. Pj<:.wy '^'I>,4-NAPo.....S- "'I 4~il.o1r
BUILDER'S EMAlL AOORESS BEST METHOO OF CONTACT:
t>ovF.S~~~r.;;1 ~\A"""'" T t:o"'~, leD"" t::A1A- ,,_
PROPERTY NAME PHONE ~,"':l- Sli';;l.-:rS,<D FAX J, + S'8".;l- =1lf.,l~
OWNER: 4r, "''''~ c-+~.,;:.... 1+o<;.;:>..A-<-
STREET AOORESS OTY STATE ZIP
13$00 ,J. M 1E;2. '1:> , ""^' Sr. C~""~.... IN 'f(Po~_
LOCATION ADDRESS OF CONSTllucnON SUITE # (If Applicable)
& PROJECT 1"3 4 '50 N. M/E;tZ. . 1::>, 4-N .c;-r , CA-"""",,, L. , IN l-/(po3a
INFO: Address of Shell Building (If different than Address of Construction) I Lot # and Subdivision (If Applicable)
BUILDING, PROJECT, OR TENANT NAME: I ...,.- ':;:&'-001&- I ZONING: I TAX MAP PARCEL #:
13P~'. 4f C~--'- (p~oe;; ..., 13-& Ii-O't.;j, Soooooo I 0001.
STATE COMMEROAL SCOPE(S) OF o FDN o STll KARCH }l( MECH KPLUM I SQUARE ~o;;23
DESIGN RELEASE #: 3~"" '8'o~ RELEASE: ji{ ELEC o SPKIJ< OTl-lER(S): FOOTAGE:
WATER UTILITY SEWER UTILITY ESTIMATED COST OF CONSTRUcnt:
PROVIDER: C4(2",~L.- PROVIDER: C. A-(2.",e L- (EXCLUDING LAND VALUE) '!;J <>, "0 (:>
PLAN COMMISSION / BZA / BPW DOCKET NUMBERS; AND/OR "'/A
COUNTY WELL AND/OR SEPTIC PERMIT #'S (If Applicable):
# of Floors: I Elevator or Un:: C) YES ;!I('NO I BLDG. CONSTllucnON TYPE: ~.;.... .oS1",J OCCUPANCY CLASSIFICATION: f$ REM
TYPE OF CONSTRUCTION: TYPE OF IMPROVEMENT:
)81 COMMEROAL . .~ .',~\QI&J STRUCTURE
(Private~ owned hosM i"ONS1'Ru:q ~mON
~nd IQal\ofligei&'n~\-I, '\II-> ~\\ regl),a\'v' 0 Room(,)
elda~rr;p\ian~a W, Cooes. Q Porch
o I I QNAli:,:-..,,,,;;;iI lOCI" SC<=lV1C~ MezzanlneorDeck
Mu~Pll~,,:,unc ~~N\\1' \:..'.&r, ~t1l!IREL
,0 ~9"/"'f coM. . ,,:< '\<:)'bII'NfW'tENANT FINISH
~OEiChUrd1(: r.oN\(;L I C\.J" 0 ACCESSORY BUILDING
OUND . lOi~CR:'~!I.1".~im\/I. 0 DETACHED GARAGE
apply for ew constructl~r ' 0 ATTACHED GARAGE
f81' SLAB 0 CRAWL SPACE:'=:- '" El:;;,CEj;L,TQWER:(New)-:-::" 'I
o POST&BEAM 0 BASEMENT:!!\\ ,.-:B"CEU:TOWERCO-tOf'ATEI c.-pgl 003180
(or POST & PIER) WALJ(OlJT:_Y~N - 0 DEMOUTlON ': II \' I
,. "I \ II
Class I structure permits are subject torh~ ~ener" A~s~~~~es +r fh.~ $fate of In~ana (See 675 lAC 12) regarding expiration time frames for
, I J U N beginhingY.'Rd compl~t~ construction.
I, the undersigned, agree that any construe,tion..reconstruction, enlargement, relo9~ion"'o'r alteration of a structure, or any change in the use of land or structures
requested by this application will comply With, andcoI1form tCl,all ,applicable laws 'of tne State of Indiana, and the "Zoning Ordinance of Carmel Indiana - 1993" (Z~
289) and amendments, adopted under authority of I.C~ 36~7-et-seq, General Assembly of th~ State of Indiana, and all Acts amendatory thereto. I further certify that only
kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be used or occupied until a Certificate of
~~mpm XiSSUedbYthe Dep;:~lc;;:~ty;~ces==.:d1;~~ ~ ~ / / / e>-=F
Signature of Owner or Authorized Agent Print Da~ I
PROJECT INFORMATION:
Early Release Manufactured
Permit: _Y X' N Trusses: _Y x: N
Lot Split: _Y ><N Sump Pump: _Y XN
Does any part of the property lie within a special Flood
designation area: _Y >< N.
PLUMBING CONTRACTOR:
"54'-'-1 VA-^' -r P<>oRE.
Plumber's Indiana State License #:
OFFICEUSEONLY:************************************************************************
INSPECTIONS REQUIRED: Filing Fees: ( t? q'/S. .. 00
-7 Of /'l rl # Charged Re-
Upper Footing Lower Footing Under Slab Base Inspections: ^ 0 c::. 'LA'L-/ Reviews
~g~ MeterBase ~)Site Cert.ofOccupancy: 0
'()
~
/Approved: Dept. of COmmunity Services
rmS/ILP COMMEROAl
TOTAL:
V ~..-?C ~
Additional Fees
001
Fee Received by: